Healthcare Provider Details

I. General information

NPI: 1821952938
Provider Name (Legal Business Name): MONICA ARLENE GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83912 AVENUE 45
INDIO CA
92201-7351
US

IV. Provider business mailing address

49999 AVENIDA DEL PARQUE
COACHELLA CA
92236-1303
US

V. Phone/Fax

Practice location:
  • Phone: 760-347-0754
  • Fax:
Mailing address:
  • Phone: 760-455-6122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: